DPM Site Safety & Environmental Audit

• Site:

  Select

• Audit Scope:

  Select

• Auditor:

• Date & Time:

  Date

• Principal Contractor:

  Select

• Audit Number:

General site conditions

• Is the General site PPE conditions clearly displayed at entry to site?

  Yes

  No

• Does the sign contain a Contact name and number?

  Yes

  No

• Is the site secure, all perimeter fencing in place and intact?

  Yes

  No

• Are amenities on site? e.g. Site shed, Toilets, Drinking Water, etc

  Yes

  No

• Have the amenities been connected to a Power source and Water as per the PMP?

  Yes

  No

Site Storage

• Are there site containers used as storage sheds?

  Yes

  No

• Are the Containers storing any Flammable materials?

  Yes

  No

• Does the Container have a Flammable Material sign?

  Yes

  No

Overall Site Conditions

• Type of works being carried out on site.

  Select

• Are work areas secure? (are barriers around open excavations and are preventing unauthorised access)

  Yes

  No

• Is the Site clean and Tidy? (assist in preventing slips, trips or falls)

  Yes

  No

• Have Star pickets been made safe according to the PMP for the Site? (i.e. plastic caps on, top of picket highlighted)

  Yes

  No

  N/A

Personal Protective Equipment

• Are personnel on site wearing the correct PPE as per site conditions (main sign) and their PMP/ SWMS?

  Yes

  No

  N/A

• Missing Items

  Select

Excavations

• Are there open Excavations on Site?

  Yes

  No

• Are open Excavations (all depths) protected by flagging / barricaded off, according to the Contractors PMP?

  Yes

  No

  N/A

• Is the flagging / barricades being maintained correctly?

  Yes

  No

  N/A

• Are there Excavations over 1.5m? (1.5m from Floor of Trench to surrounding surface)

  Yes

  No

• What is the Excavation for?

  Select

• Type of works being carried out

  Select

• What is the Type of Shoring / Trench support being used? (Photo Required)

  Select

• Is trench support suitable for the ground conditions and depth of excavation?

  Yes

  No

  N/A

• Is the trench support set up correctly? <br> (Photo Required)

  Yes

  No

  N/A

• Are crew members provided with a ladder or other means of access and egress where required? <br> (Photo Required)

  Yes

  No

  N/A

• If a Ladder is provided, Is the Ladder set up and supported correctly?

  Yes

  No

  N/A

Pits

• Have any Pits been constructed?

  Yes

  No

• Have pits (Stormwater, Sewer, Electrical) been covered to prevent falls?

  Yes

  No

  N/A

• Have open pits been flagged? If required.

  Yes

  No

  N/A

Plant and equipment

• Do Plant and equipment on site have operating flashing beacons, mirrors and reversing beepers?

  Yes

  No

Lifting

• Are there any lifting tasks on site?

  Yes

  No

• Type of Lifting equipment being used?

  Select

• Is the lifting equipment in a suitable condition to carry out the task?

  Yes

  No

  N/A

• Is the Lifting Equipment rated and tagged?

  Yes

  No

  N/A

Environmental (SEMP)

• Does the Project have an Approved SEMP?

  Yes

  No

• Are there Site Silt control measures in place, as per the SEMP? <br>(Silt fences around boundaries on low sides, Stock piles have Silt control measures in place).

  Yes

  No

• Are external Roads clear of excessive mud / dirt that may create a safety hazard?

  Yes

  No

• Type of measure in place to prevent mud / dirt getting onto external roads as per the SEMP?

  Select

• Where applicable has Dust control measures been taken?

  Yes

  No

  N/A

• Type of Dust Control

  Select

General Comments

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